A 76-year-old female patient with a 6-year

A 76-year-old female patient with a 6-year history of hypertension, type 2 diabetes, and chronic kidney disease, arrives at her health care provider’s office for treatment of an upper respiratory infection. The patient is overweight by 30 pounds, and says she has minimal physical activity, since her 3 teenage grandchildren have moved in. The teenagers’ mother is the patient’s daughter, who is in prison. The patient says she has not taken her medication for about a month, due to the financial burden of raising her grandchildren. Her blood pressure is 180/98 mm Hg. What type of hypertension does this patient have? What medication is likely to be prescribed? What are all the lifestyle modifications this patient will need? What are the possible referrals the nurse can make to assist this patient? What are some practical ways the patient can increase her exercise?

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